ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
The nurse is providing education to a pregnant patient who is experiencing nausea and vomiting during pregnancy. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B because eating small, frequent meals and avoiding greasy foods can help manage nausea and vomiting during pregnancy by preventing the stomach from becoming too full or empty. Large amounts of water at once (choice A) can worsen nausea. Taking anti-nausea medications without consulting a doctor (choice C) can be unsafe during pregnancy. Lying flat on your back after eating (choice D) can increase the risk of acid reflux.
Question 2 of 5
A nurse is caring for a pregnant patient who is 30 weeks gestation and is diagnosed with mild preeclampsia. Which of the following should be included in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood pressure and assess for protein in the urine. This is crucial in the care of a pregnant patient with mild preeclampsia at 30 weeks gestation. Monitoring blood pressure helps in assessing the severity of the condition and guiding treatment. Assessing for protein in the urine confirms the diagnosis and helps in monitoring kidney function and overall disease progression. Explanation of why the other choices are incorrect: A: Administering magnesium sulfate is typically indicated for severe preeclampsia to prevent seizures, not mild preeclampsia. C: Encouraging rest and restricted activity can help manage symptoms but is not a primary intervention for mild preeclampsia. D: Daily blood glucose monitoring is important for gestational diabetes, not specifically for mild preeclampsia.
Question 3 of 5
The nurse is caring for a pregnant patient who is 35 weeks gestation and reports sharp abdominal pain and decreased fetal movement. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Call the healthcare provider immediately and prepare for further assessment. This is the priority action because sharp abdominal pain and decreased fetal movement at 35 weeks gestation could indicate a serious complication such as placental abruption or fetal distress. Calling the healthcare provider promptly allows for timely intervention and assessment to ensure the safety of both the mother and the baby. Encouraging the patient to drink water and rest (choice A) may not address the underlying issue. Monitoring fetal heart rate and performing a nonstress test (choice C) may be important but not as immediate as contacting the healthcare provider. Asking the patient to lie on her left side and wait for symptoms to resolve (choice D) delays necessary medical evaluation and intervention.
Question 4 of 5
The nurse is caring for a pregnant patient who is 30 weeks gestation and has a BMI of 32. Which of the following complications should the nurse monitor for more closely?
Correct Answer: A
Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A pregnant patient with a BMI of 32 is considered obese, which increases the risk of developing gestational diabetes and preeclampsia. Gestational diabetes is more likely in overweight women and can lead to complications for both the mother and baby. Preeclampsia is also more common in obese women and can result in high blood pressure and organ damage. Monitoring for these complications is crucial to ensure the well-being of both the mother and baby. Incorrect choices: B: Hyperemesis gravidarum and miscarriage - These complications are not directly related to the patient's weight or BMI. C: Iron-deficiency anemia and urinary tract infections - While these complications can occur in pregnancy, they are not specifically associated with the patient's BMI. D: Gestational hypertension and placenta previa - While gestational hypertension can be a concern in obese patients, placenta previa is not directly linked to
Question 5 of 5
A pregnant patient is at 25 weeks gestation and is concerned about her risk of preterm labor. Which of the following symptoms should the nurse educate the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C: Painful, regular contractions. At 25 weeks gestation, experiencing painful, regular contractions could indicate preterm labor, which requires immediate medical attention to prevent premature birth. Mild back pain and cramping (choice A) are common in pregnancy and may not necessarily indicate preterm labor. Increased vaginal discharge (choice B) is also common in pregnancy and not typically a sign of preterm labor. Feeling of pelvic pressure after physical activity (choice D) is common due to the growing uterus and ligament stretching, but it is not a definitive sign of preterm labor unless accompanied by other symptoms like contractions.